Cost of a General Doctor (Adult) Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho ranks second among all states for the most affordable General Doctor (Adult) visit costs, with patients typically paying between $75 and $125, with a median out-of-pocket cost of $80. The state's 19 active General Doctor (Adult) providers serve a population spread across vast rural territories and concentrated urban centers like Boise. Patients can browse all providers in Idaho to find the most cost-effective option for their needs.
Average
$93
Median
$80
Lowest
$75
Highest
$125
Providers
19
29% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $75 | $90 | $179 | 29 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $90 | $90 | $150 | 9 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for internal medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Internists in Idaho
Dr. Steven Koga, MD
Internal Medicine Physician · Caldwell, ID
Dr. Victorija Laucius, MD
Internal Medicine Physician · Twin Falls, ID
Dr. Amy Schell, MD
Internal Medicine Physician · Boise, ID
Dr. Gretchen Kohler, MD
Internal Medicine Physician · Boise, ID
Dr. Frank Johnson, MD
Internal Medicine Physician · Meridian, ID
Why General Doctor (Adult) Visit Costs Vary Across Idaho
Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's rural character and lower practice overhead compared to major metropolitan markets. The state's dispersed population and limited insurer competition create unique pricing dynamics across its 44 counties.
Urban vs. Rural Provider Availability
Idaho's healthcare delivery concentrates heavily in the Treasure Valley around Boise, while vast rural counties face significant provider shortages that affect both access and pricing. Rural patients often travel hours to reach specialized care, with some providers adjusting their rates to reflect the limited competition in remote areas.
Facility Type and Overhead Costs
Hospital-based outpatient clinics affiliated with major systems like Saint Alphonsus Health System and Kootenai Health typically charge facility fees in addition to provider costs. Independent practices throughout Idaho often offer more transparent pricing without additional facility charges, particularly in smaller communities where overhead costs remain lower.
Insurance Market Competition in Idaho
The dominance of Regence BlueCross and PacificSource in Idaho's individual and group markets limits competitive pressure on negotiated rates compared to states with more diverse insurer participation. This concentrated market structure can result in less variation in negotiated rates between providers, contributing to the state's relatively consistent pricing patterns.
Physician Supply and Demand in Idaho
With only 19 active General Doctor (Adult) providers serving the entire state, Idaho faces a moderate specialist shortage relative to its growing population. This limited supply can create longer wait times in some regions but hasn't dramatically inflated pricing due to the state's overall lower cost structure and rural practice economics.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Idaho.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — General Doctor (Adult) Costs in Idaho
What is the average cost of a General Doctor (Adult) visit in Idaho without insurance?
Does Idaho Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Idaho?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a General Doctor (Adult) visit in Idaho?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Idaho?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $80 – $314 | $236 |
| 2 | New Hampshire Range: $113 – $282 | $205 |
| 3 | Maine Range: $85 – $255 | $197 |
| 4 | Wyoming Range: $98 – $303 | $177 |
| 5 | Iowa Range: $80 – $274 | $165 |
| 6 | Wisconsin Range: $73 – $315 | $162 |
| 7 | Minnesota Range: $73 – $313 | $159 |
| 8 | Vermont Range: $73 – $243 | $158 |
| 9 | New Mexico Range: $80 – $234 | $157 |
| 10 | South Dakota Range: $80 – $293 | $154 |
| 11 | Illinois Range: $73 – $226 | $151 |
| 12 | District of Columbia Range: $59 – $242 | $148 |
| 13 | Delaware Range: $80 – $200 | $141 |
| 14 | Massachusetts Range: $80 – $255 | $140 |
| 15 | California Range: $80 – $250 | $138 |
| 16 | New York Range: $73 – $200 | $135 |
| 17 | Washington Range: $80 – $242 | $134 |
| 18 | Michigan Range: $66 – $236 | $130 |
| 19 | Hawaii Range: $70 – $228 | $128 |
| 20 | Georgia Range: $74 – $202 | $127 |
| 21 | Connecticut Range: $80 – $202 | $125 |
| 22 | Arkansas Range: $72 – $175 | $125 |
| 23 | Indiana Range: $74 – $209 | $125 |
| 24 | Louisiana Range: $70 – $202 | $124 |
| 25 | Colorado Range: $80 – $203 | $124 |
| 26 | West Virginia Range: $80 – $159 | $124 |
| 27 | Oregon Range: $80 – $206 | $124 |
| 28 | Ohio Range: $70 – $201 | $124 |
| 29 | Rhode Island Range: $80 – $200 | $123 |
| 30 | Pennsylvania Range: $74 – $202 | $122 |
| 31 | Kentucky Range: $80 – $201 | $122 |
| 32 | Utah Range: $75 – $204 | $121 |
| 33 | North Dakota Range: $80 – $188 | $120 |
| 34 | North Carolina Range: $73 – $200 | $119 |
| 35 | Florida Range: $55 – $207 | $117 |
| 36 | Tennessee Range: $73 – $173 | $115 |
| 37 | Missouri Range: $72 – $146 | $115 |
| 38 | Maryland Range: $49 – $202 | $112 |
| 39 | Nevada Range: $48 – $202 | $112 |
| 40 | Kansas Range: $72 – $151 | $111 |
| 41 | Arizona Range: $65 – $179 | $111 |
| 42 | South Carolina Range: $73 – $163 | $105 |
| 43 | Oklahoma Range: $72 – $158 | $105 |
| 44 | New Jersey Range: $53 – $193 | $103 |
| 45 | Alabama Range: $64 – $160 | $101 |
| 46 | Mississippi Range: $64 – $150 | $101 |
| 47 | Idaho Range: $75 – $125 | $93 |
| 48 | Montana Range: $80 – $102 | $87 |
| 49 | Alaska Range: $80 – $91 | $84 |